Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kendra V Mingo, PA

Individual provider Physician Assistant · NPI 1043846199

Kendra V Mingo, PA is a Physician Assistant in Vienna, Virginia. Graduated from Eastern Virginia Medical School in 2020, 6 years ago. Practices with Inova Ucc LLC, a 153-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
6
Trained at
Eastern Virginia Medical School
Licensed in
VA
In the registry since
2020
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

8375 Leesburg Pike
Vienna, VA 22182-2402
Phone: (571) 889-3237
Fax: (571) 889-3238
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 111 Michigan Ave Nw, Washington, DC 20010-2916 — (202) 476-5000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110007374 (VA)

Record details

NPI number1043846199
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 20, 2020
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 2020 (6 years in practice)
Group practice Inova Ucc Llc — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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